Hospitals: TEAM
Mandatory 30-day surgical episodes at participating hospitals, live since January 2026. Look up a hospital by its CMS certification number.
Check a hospital →Why
Payment now follows the record. A record needs a name on it.
CMS is scoring hospitals, episodes and individual clinicians, and an agent can draft the paperwork faster than anyone can read it. What an auditor or a payer asks for is who looked, and what they changed. SurgeonValue is built around that answer.
What changed
The measurement moved from the practice to the person.
Clinicians: ASM
Low-back-pain and heart-failure specialists are measured from January 1, 2027, with Part B adjustments of up to ±9% from payment year 2029. Look up an NPI against CMS's preliminary list.
Check an NPI →Joint replacement: CJR-X
Final July 31, 2026 (CMS-1849-F): mandatory 90-day hip, knee and ankle episodes from January 2028 at most hospitals paid under the inpatient system.
Read the rule →Who employs the surgeon
82% of U.S. physicians were employed by a hospital or corporate entity on January 1, 2026 (PAI-Avalere). The record that follows a surgeon between employers has to be one she can carry.
The economics →What the signature is for
A signature proves who signed. The lines she struck prove someone looked.
AI drafts, a rules check grades, you sign or strike
The model proposes the codes and the letter. The CMS NCCI edit engine grades the codes; the model never grades its own work. The surgeon signs or strikes each line under her own NPI.
See the checker →The receipt keeps both
What the draft claimed and what was signed, sealed in a SHA-256 receipt that holds no patient information. The lines she struck are her judgment, on the record.
See a signed receipt →RTM has a rule about whose name
Inside the 90-day global period the operating surgeon cannot bill remote therapeutic monitoring on her own post-op patient. The practice's employed PT can, under the PT's NPI.
The RTM rules →What a signature does not prove
Nothing here is risk-adjusted and nothing ranks any clinician. A signed record is evidence that someone looked, not evidence of how good the outcome was.
On outcomes →Every figure on this page is stated on the page its card links to, with the source. How the tools are built and which of them run today is on How it works.
Today Wonder Bill, Prior Auth, the PT record, attested PROMs, the ASM check by NPI and the TEAM check by hospital. No login for the checks. Nothing is stored.
Next Registry abstraction, RTM across a panel, and the EHR write-back beyond its sandbox.
Never Billing in your name. A letter you did not sign. A figure that is not yours.